| NPI | 1447502901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 115029) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT006184) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2015-07-30 |